Organization Active NPI

JK Premium LLC

  • Durable Medical Equipment & Medical Supplies
  • Arlington, VA
National Provider Identifier
1992675334
Registry record updated Nov 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
JK PREMIUM LLC
Practice address
847 S Greenbrier St Apt 71
Arlington, VA 22204-2720
Phone
(571) 550-0137
Fax
(571) 550-0137
NPI assigned
Nov 10, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Syed Ayan Ali Gardezi
Title
Owner
Phone
(571) 550-0137

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

847 S Greenbrier St Apt 71
Arlington, VA 22204-2720

Mailing address

847 S Greenbrier St Apt 71
Arlington, VA 22204-2720
Phone (571) 550-0137

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1762732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762732800000",
    "number": "1992675334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "847 S GREENBRIER ST APT 71",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222042720",
            "telephone_number": "571-550-0137",
            "fax_number": "571-550-0137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "847 S GREENBRIER ST APT 71",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222042720",
            "telephone_number": "571-550-0137",
            "fax_number": "571-550-0137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JK PREMIUM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-10",
        "last_updated": "2025-11-10",
        "certification_date": "2025-11-10",
        "status": "A",
        "authorized_official_last_name": "GARDEZI",
        "authorized_official_first_name": "SYED",
        "authorized_official_middle_name": "AYAN ALI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "571-550-0137",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.